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DAVID M BINGHAM D.O.
NPI 1831393628
Orthopaedic Surgery in Oshkosh, WI

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
2700 W 9TH AVE STE 125, OSHKOSH, WI 54904(800) 322-2141 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2023, Jul 22, 2022, Nov 23, 2021 and 1 more (4 updates tracked since 2017).

About David M Bingham D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID M BINGHAM D.O. (NPI 1831393628) is an individual orthopaedic surgery provider in Oshkosh, Wisconsin, licensed in Arizona (009842) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and is a graduate of Nova Southeastern College Of Osteo Medicine (2004).

NPPES Registry Identity

NPI1831393628
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDAVID M BINGHAMCredential: D.O.
Location Address2700 W 9TH AVE STE 125Oshkosh, WI 54904-7864
Mailing Address3269 N Stockton Hill RdKingman, AZ 86409-3619 · (928) 681-8693 · Fax (928) 681-8694
Phone(800) 322-2141
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 2004
Enumeration DateJune 13, 2007
Last NPPES UpdateOctober 9, 20234 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1831393628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in AZ · 009842✔ Licensed in IL · 036125816✔ Licensed in WI · 67061
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
2700 W 9TH AVE STE 125, Oshkosh, WI 54904
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Other Identifiers 1

Medicaid100066054WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David M Bingham D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911186549
PECOS Enrollment IDI20170505000850
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services41 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
32 services27 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
22 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%165 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
67%308 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
56%307 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
17%307 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
22%307 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Bingham's NPI number?

The NPI number for David Bingham is 1831393628. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is David Bingham located?

David Bingham practices at 2700 W 9th Ave Ste 125, Oshkosh, WI 54904. The listed phone number is (800) 322-2141.

What is David Bingham's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is David Bingham enrolled in Medicare?

Yes. David Bingham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does David Bingham accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare list David Bingham as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is David Bingham affiliated with any hospitals?

According to CMS data, David Bingham is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for David Bingham was last updated on October 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.